VBS Sign Up Oxford Presbyterian Church
RequiredRequired Question(s)
Shipwrecked and Rescued By Jesus VBS
for age 4 thru 6th Grade
July 15-19, 6:30-8:30 PM
 
Required 1.
Name
 

50 characters left.
Required 2.

Birthday

 

50 characters left.
Required 3.

Age

 

50 characters left.
Required 4.

Grade entering

 

50 characters left.
Required 5.

Address


 

350 characters left.
Required 6.

Parent/ Guardian name

 

50 characters left.
Required 7.

Home phone

 

50 characters left.
Required 8.

Cell phone

 

50 characters left.
Required 9.

Email 

 

50 characters left.
Required 10.

Church affiliation

 

50 characters left.
Required 11.

Food Allergies/ Special needs

 

350 characters left.
Required 12.

Emergency contact: Name and phone number

 

350 characters left.
Required 13.

Who will be picking up this child ?

 

50 characters left.
Required 14.
I understand that reasonable precautions will be taken to safeguard the health and wellbeing of participants in this VBS and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the VBS Team or other associated volunteers of the VBS program to obtain medical care for my child in the event that a parent or legal guardian cannot be reached. I hereby release and forever discharge the Oxford Presbyterian Church and the volunteers from all manners of actions and/or claims, which I or the child named above shall or may have for any reason, arising during my child's attendance of the VBS.
I agree
I agree
Required 15.

I hereby grant Oxford Presbyterian Church permission to use my likeness or my child's likeness in a photograph, video or other digital media ("photo") in any of its publications, including web-based publications and social media.

I understand and I agree that all photos will become property of Oxford Presbyterian Church.

I hereby irrevocably authorize Oxford Presbyterian Church to edit, alter, copy, exhibit, publish or distribute these photos for any lawful purpose.

I hereby hold harmless, release, and forever discharge Oxford Presbyterian Church from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO/VIDEO RELEASE> I AFFIRM THAT I AM THE PARENT/LEGAL GUARDIAN OF THE CHILD NAMED ON THE FRONT AND AM ACTING ON THEIR BEHALF

I GRANT PERMISSION
I DO NOT GRANT PERMISSION
PARENTS- Please drop off your child at their classroom and sign them in. You will also pick up your child at their classroom.